HomeMy WebLinkAboutInv# 28-191669 - BOULEVARD TIRE CENTER - 06/01/202128-191669
BOULEVARD TIRE CENTER
4201 SOUTH STATE RD 7
FORT LAUDERDALE, FL 33314
954-792-7799
WO # 28-19'1669 Page '1 of 'l
Dale 06101121 Emo: 1-1629 16291 1-1629 '1629 Dealer lD#: 000155026
In Jun 01, 2021 8:06AM ****VVORK ORDER***"
Sold To: Ship To: Unit #: stpck
CITY OF DANIA BEACH Vehicle:
100 W DANIA BEACH BLVD License:
DANIA BEACH FL 33004 Mileage: In: 0 out: 0
contactr 954-237-9719 rax Number: 954-923-i109 XBI, ,ro"o,
BAR tD: t\4v$8093
Salesman Mechanic Part# QTY Description EPAID: N'|VR-26109011
41629 003490 4.OO Lf245175R17 FSTONE TMNSFORCE H/T10p1 121j5 0.00 0.00 484.601629 T|R-TAX 8.00 STATE T|RE FEE 1.00 0.00 0.00 8.00
STATE PROG
TECH,#START TIME
MILEAGE
FINISH TIME ROLL TIME
TRAILER#HUBOMETERTRUCK#
YEAR MAKE/IUODEL VIN#Ltc#ST
TIRE SIZE
DOT# ON
DOT# OFF
WHEEL POS TREAD DEPTH
ERAND
BRAND
CAUSE OF FAILURE
MT/OISMT FLAT REPAIR SWITCH VALVE STEM
VALVE CAP OFF TIRE NOTES
ADDL, ITEMS
INVENTORY OUT INVENTORY IN
Parts: 943.04Labor: 0.00: 0.00Subtotal: 943.04
Sales Tax: 0.00
Customer SignaturePrint Name
Page 1 of 'l
Total: $943.04